ED Triage Acuity Scale (ESI) – Educational Objectives

Upon completion of this course, the participant should be able to meet the following educational objectives:

1. Summarize the advantages of a valid and reliable five-level triage acuity scale.
2. Discuss causes of mistriage.
3. Discuss the subjective nature of acuity scales.
4. Distinguish goals, outcomes, and expectations associated with a valid and reliable five-level triage scale as they relate to all stakeholders.
5. Differentiate elements of the Triage Assessment Process and their relationship before, during, and after assigning a triage acuity designation.
6. Comprehensively define each acuity level and any pediatric specific considerations.
7. Employ triage acuity scale resource tools efficiently.
8. Use a systematic approach to accurately and consistently prioritize patients by assigning triage acuities based upon clinical presentation, discriminators, criteria and any applicable algorithm.
9. Discuss factors associated with triage drift.
10. Analyze factors that could escalate the triage acuity level.
11. Verify the necessity of a triage reassessment policy and identify circumstances that may hinder meeting that policy.
12. Demonstrate the ability, using a comprehensive systematic evidence-based approach, to safely manage multiple patients arriving to triage simultaneously.


Triage First is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The ANCC Accreditation Program and ANCC Accredited Organization are trademarks of the American Nurses Credentialing Center. All Rights Reserved.

ANCC is the world’s largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association (ANA). ANCC is the only nurse credentialing organization to successfully achieve ISO 9001:2008 certification in the design, development, and delivery of global credentialing services and support products for nurses and healthcare organizations.